Bogor – Pandeglang – Jambi – Gresik
ECCEExtraCapsular Cataract Extraction involves the removal of almost the entire natural lens while the elastic lens capsule (posterior capsule) is left intact to allow implantation of an intraocular lens. It involves manual expression of the lens through a large (usually 10–12 mm) incision made in the cornea or sclera. Although it requires a larger incision and the use of stitches, the conventional method may be indicated for patients with very hard cataracts or other situations in which phacoemulsification is problematic
PhacoemulsificationPhacoemulsification (Phaco) is the most common technique used by developed countries. It involves the use of a machine with an ultrasonic handpiece equipped with a titanium or steel tip. The tip vibrates at ultrasonic frequency (40,000 Hz) and the lens material is emulsified. A second fine instrument (sometimes called a “cracker” or “chopper”) may be used from a side port to facilitate cracking or chopping of the nucleus into smaller pieces. Fragmentation into smaller pieces makes emulsification easier, as well as the aspiration of cortical material (soft part of the lens around the nucleus). After phacoemulsification of the lens nucleus and cortical material is completed, a dual irrigation-aspiration (I-A) probe or a bimanual I-A system is used to aspirate out the remaining peripheral cortical material.
ICCEIntracapsular cataract extraction (ICCE) involves the removal of the lens and the surrounding lens capsule in one piece. The procedure has a relatively high rate of complications due to the large incision required and pressure placed on the vitreous body. It has therefore been largely superseded and is rarely performed in countries where operating microscopes and high-technology equipment are readily available. After lens removal, an artificial plastic lens (an intraocular lens implant) can be placed in either the anterior chamber or sutured into the sulcus.
Post Cataract Surgery
Hadi Prakoso Wreksoatmodjo, SpM (K), or mostly known as Hadi Prakoso, was graduated as medical doctor from the University of Indonesia-Jakarta, in 1977. As a government employee, after serving as general practitioner in remote area of Maluku province in the eastern part of Indonesia for nearly 8 years, he started his ophthalmology training in the same university and graduated in 1989. And then he was appointed to work in Bali for one and half year, where he performed the first IOL implantation in that island in 1991.
In 1992 he came back to Jakarta, working as junior staff member of University of Indonesia, in the Strabismus sub Division of the Department of Ophthalmology. During his time in the university, he studied Low Vision Aid in Tokyo-Japan (1995), and continued studying Strabismus and Oculoplastic in Melbourne-Australia (1995-1996). Upon his return from Australia he chaired the Paediatric Ophthalmology and Strabismus society in Indonesia for seven years (1996-2003), and delivered numerous lectures and courses in national meetings. He used to be the secretary general of the Indonesian Ophthalmologist Association (IOA)(1996-2003), and was also deeply involved in conducting charity mass cataract surgery organized by IOA in 1989-1998. His great passion to cataract and refractive surgery forced him to learn phacoemulsification and Lasik by himself since 1997. He also attended many courses abroad on cataract and refractive surgery including iris claw phakic IOL. His endless effort to improve his skill and to master various surgical techniques, leads him to be one of the high volume surgeons in the region. He had conducted instructional course and wet lab on Artisan Phakic IOL in Kuala Lumpur and Singapore in 2006, and several times in Indonesia. Since 2007, he had been assigned as a Certified International Trainer for VISX CUSTOM VUE LASIK. Due to his wide and extensive experience in this field, he was invited to give lectures and didactic courses on challenging cases in national and international meetings respectively such as APAO, APACRS and WOC. He had also performed live surgeries in Indonesia, India and Australia. His enormous experiences in implanting over than thousand premium IOLs (both Toric and Multifocus) in the last 4 years, put him to be one of the most respectable premium surgeons in Indonesia. Since 2012 he actively joined the INASCRS as scientific board member. Dr.Hadi Prakoso, SpM (K)
Dr. Setiyo Budi continued fellowship in Cataract, Cornea, and Refractive Surgery at Medical Faculty University of Indonesia in 2002. Start from the time he studied LASIK in Bharti Eye Hospital, New Delhi India (2004), and continued with presby-LASIK by Dr. Alan Telando from France (2006) in Jakarta Eye Center. For Cornea, he had a course for DSAEK at SNEC Singapore (2009). He is presently the President of INASCRS, the Indonesian Society of Cataract and Refractive Surgery. At Present Dr. Setiyo is Medical director Jakarta Eye Center @ Kedoya and Head of Cataract and Refractive Surgery Service Jakarta Eye Center. His clinical work includes Cataract surgery by Phacoemulsification with premium IOL implants, MICS, Phakic IOL, Aphakic IOL, LASIK, Presby LASIK, Keratoplasty, DSAEK and General Ophthalmology, He is also active as Speaker in Indonesia Ophthalmology Association Annual Meeting and International Ophthalmology Meeting. Dr.Setiyo Budi Riyanto, SpM (K)